Healthcare Provider Details

I. General information

NPI: 1669144382
Provider Name (Legal Business Name): DENVER HEALTH AND HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 S MONACO PKWY STE 108
DENVER CO
80224-1228
US

IV. Provider business mailing address

777 BANNOCK ST # MC1923
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 720-423-8600
  • Fax:
Mailing address:
  • Phone: 303-436-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: APRIL AUDAIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 303-602-4965